摘要
目的 分析玻璃体切除硅油填充术后高眼压发生的相关因素.方法 回顾性分析2013年7月至2015年1月于我院进行玻璃体切除并硅油填充术的78例（78只眼）,术随访12个月,将术后眼压≥24 mmHg（1 mmHg=0.133 kPa）者定为高眼压.对可能的术后高眼压诸因素进行统计学分析.结果 27例（34.62%）术后出现高眼压.高眼压组与正常眼压组患者的年龄、性别、糖尿病史、眼内手术史及眼外伤史进行比较,两组的差异均无统计学意义（P〉0.05）.经逻辑学多因素回归分析高度近视、联合晶状体摘出、硅油乳化、葡萄膜炎反应及硅油填充时间过长（〉6个月）的比值比（OR值）依次为10.569（1.519-73.555）,15.325 （1.470-159.731）,17.828 （2.268-140.171）,25.783 （2.579-257.759）,4.327（1.436-13.035）,都是术后发生高眼压的独立危险因素.结论 玻璃体切除硅油填充术后发生高眼压的危险因素按危险程度由高到低依次为葡萄膜炎反应、硅油乳化、联合晶状体摘出、高度近视和硅油填充时间过长.
Objective To analyse the causative factors of high intraocular pressure （IOP） after vitrectomy combined with silicon oil tamponade.Methods The data of 78 eyes of 78 patients who underwent pars plana vitrectomy combined with silicon oil tamponade between July 2013 and January 2015 in our hospital were retrospectively analyzed.The follow-up time was 12 months, and the high IOP was defined as IOP≥24 mmHg（1 mmHg=0.133 kPa）.Statistical methods were used to analyze the possible causative factors of postoperative high IOP.Results Postoperative high IOP occurred in 27 cases （34.62%）.There was no significant difference in age, gender, diabetes mellitus, previous intraocular surgery or ocular trauma between high IOP group and normal IOP group（P〉 0.05）.Logistic multivariate regression analysis showed that the OR values of high myopia, combined with lentectomy, emulsification of silicone oil, uveitis and time of silicon oil tamponade over 6 months were 10.569（1.519-73.555）,15.325（1.470-159.731）,17.828（2.268-140.171）,25.783（2.579-257.759）,4.327（1.436-13.035）,respectively.They were independent risk factors of high IOP after surgery.Conclusion The risk factors of high IOP after vitrectomy combined with silicon oil tamponade from high to low are uveitis,emulsification of silicone oil,combining with lentectomy,high myopia and time of silicon oil tamponade for too long.
出处
《中华眼外伤职业眼病杂志》
2017年第4期258-262,共5页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
玻璃体切除术
硅油填充术
高眼压
术后
相关因素
Vitrectomy
Silicon oil tamponade
High intraocular pressure, after surgery
Factors, causative
